Active NPI
Terry Kevin Kowalke, D.C.
- Chiropractor
- Minneapolis, MN
National Provider Identifier
1538314729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5136
- Practice address
- 2751 Hennepin Ave
Ste. 311
Minneapolis, MN 55408-1002 - Phone
- (612) 284-4535
- NPI assigned
- Dec 1, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5136 | MN | Primary |
Addresses
Primary practice location
2751 Hennepin Ave
Ste. 311
Minneapolis, MN 55408-1002
Mailing address
6423 Colony Way
#2D
Edina, MN 55435-2259
Phone (952) 956-2305
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5136 | MN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228089600000",
"number": "1538314729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6423 COLONY WAY",
"address_2": "#2D",
"city": "EDINA",
"state": "MN",
"postal_code": "554352259",
"telephone_number": "952-956-2305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2751 HENNEPIN AVE",
"address_2": "STE. 311",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554081002",
"telephone_number": "612-284-4535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOWALKE",
"first_name": "TERRY",
"middle_name": "KEVIN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-12-01",
"last_updated": "2008-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "5136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.